HospitalInspections.org

Bringing transparency to federal inspections

5016 S US HIGHWAY 75

DENISON, TX 75020

No Description Available

Tag No.: K0047

Based on observations made during the survey of the REBA McENTIRE CENTER FOR REHABILITATION facility while accompanied by the CEO (Corporate), COO, Quality Management Dir., Quality Management Mgr., Dir. of Nursing, and the Quality Coordinator it was observed that the facility failed to provide the required Exit Signage for the CORRIDOR to the MAIN LOBBY.

No Description Available

Tag No.: K0052

TEXOMA MEDICAL CENTER
Based on observations made during the survey of the facility while accompanied by the CEO (Corporate), COO, Quality Management Dir., Quality Management Mgr., Dir. of Nursing, and the Quality Coordinator it was observed that the facility failed to provide a log indicating consistent, systematic compliance with requirement for monthly testing by staff of the fire alarm system and its automatic signal response.


REBA McENTIRE CENTER FOR REHABILITATION
Based on observations made during the survey of the facility while accompanied by the CEO (Corporate), COO, Quality Management Dir., Quality Management Mgr., Dir. of Nursing, and the Quality Coordinator it was observed that the facility failed to provide a log indicating consistent, systematic compliance with requirement for monthly testing by staff of the fire alarm system and its automatic signal response.


TEXOMA MEDICAL CENTER BEHAVIORAL HEALTH CENTER
Based on observations made during the survey of the facility while accompanied by the CEO (Corporate), COO, Quality Management Dir., Quality Management Mgr., Dir. of Nursing, and the Quality Coordinator it was observed that the facility failed to provide a log indicating consistent, systematic compliance with requirement for monthly testing by staff of the fire alarm system and its automatic signal response.

No Description Available

Tag No.: K0130

TEXOMA MEDICAL CENTER
Based on observations made during the survey of the facility while accompanied by the CEO (Corporate), COO, Quality Management Dir., Quality Management Mgr., Dir. of Nursing, and the Quality Coordinator it was observed that while it appears the facility had accomplished some of the requirements, the facility failed to provide logs indicating consistent, systematic compliance on the following issues and items:

1. Air filter change log.
2. Electrical power and distribution and grounding systems - Effectiveness.
Critical Areas: Semi-annually.
General Areas: Annually


REBA McENTIRE CENTER FOR REHABILITATION
Based on observations made during the survey of the facility while accompanied by the CEO (Corporate), COO, Quality Management Dir., Quality Management Mgr., Dir. of Nursing, and the Quality Coordinator it was observed that while it appears the facility had accomplished some of the requirements, the facility failed to provide logs indicating consistent, systematic compliance on the following issues and items:

1. Air filter change log.
2. Electrical power and distribution and grounding systems - Effectiveness.
Critical Areas: Semi-annually.
General Areas: Annually


Additionally, it was observed that the required 1 hour fire separation around the MAIN ELECTRICAL ROOM (Normal Power) was not provided in accordance with the 1985 Hospital Licensing Rules (HLR) - shown below.
The Inspector was advised that the Reba McEntire facility was constructed in 1989.

HLR, 1985: 9-2.1 Switchboards and Power Panels.
" These items shall comply with NFPA 70* National Electrical Code (NEC).* The main switchboard shall be located in a separate room, separated from other occupancies and exposures by at least a one hour rated enclosure and accessible only to authorized persons ... "


TEXOMA MEDICAL CENTER BEHAVIORAL HEALTH CENTER
Based on observations made during the survey of the facility while accompanied by the CEO (Corporate), COO, Quality Management Dir., Quality Management Mgr., Dir. of Nursing, and the Quality Coordinator it was observed that while it appears the facility had accomplished some of the requirements, the facility failed to provide logs indicating consistent, systematic compliance on the following issues and items:

1. Air filter change log.
2. Electrical power and distribution and grounding systems - Effectiveness.
Critical Areas: Semi-annually.
General Areas: Annually

LIFE SAFETY CODE STANDARD

Tag No.: K0047

Based on observations made during the survey of the REBA McENTIRE CENTER FOR REHABILITATION facility while accompanied by the CEO (Corporate), COO, Quality Management Dir., Quality Management Mgr., Dir. of Nursing, and the Quality Coordinator it was observed that the facility failed to provide the required Exit Signage for the CORRIDOR to the MAIN LOBBY.

LIFE SAFETY CODE STANDARD

Tag No.: K0052

TEXOMA MEDICAL CENTER
Based on observations made during the survey of the facility while accompanied by the CEO (Corporate), COO, Quality Management Dir., Quality Management Mgr., Dir. of Nursing, and the Quality Coordinator it was observed that the facility failed to provide a log indicating consistent, systematic compliance with requirement for monthly testing by staff of the fire alarm system and its automatic signal response.


REBA McENTIRE CENTER FOR REHABILITATION
Based on observations made during the survey of the facility while accompanied by the CEO (Corporate), COO, Quality Management Dir., Quality Management Mgr., Dir. of Nursing, and the Quality Coordinator it was observed that the facility failed to provide a log indicating consistent, systematic compliance with requirement for monthly testing by staff of the fire alarm system and its automatic signal response.


TEXOMA MEDICAL CENTER BEHAVIORAL HEALTH CENTER
Based on observations made during the survey of the facility while accompanied by the CEO (Corporate), COO, Quality Management Dir., Quality Management Mgr., Dir. of Nursing, and the Quality Coordinator it was observed that the facility failed to provide a log indicating consistent, systematic compliance with requirement for monthly testing by staff of the fire alarm system and its automatic signal response.

LIFE SAFETY CODE STANDARD

Tag No.: K0130

TEXOMA MEDICAL CENTER
Based on observations made during the survey of the facility while accompanied by the CEO (Corporate), COO, Quality Management Dir., Quality Management Mgr., Dir. of Nursing, and the Quality Coordinator it was observed that while it appears the facility had accomplished some of the requirements, the facility failed to provide logs indicating consistent, systematic compliance on the following issues and items:

1. Air filter change log.
2. Electrical power and distribution and grounding systems - Effectiveness.
Critical Areas: Semi-annually.
General Areas: Annually


REBA McENTIRE CENTER FOR REHABILITATION
Based on observations made during the survey of the facility while accompanied by the CEO (Corporate), COO, Quality Management Dir., Quality Management Mgr., Dir. of Nursing, and the Quality Coordinator it was observed that while it appears the facility had accomplished some of the requirements, the facility failed to provide logs indicating consistent, systematic compliance on the following issues and items:

1. Air filter change log.
2. Electrical power and distribution and grounding systems - Effectiveness.
Critical Areas: Semi-annually.
General Areas: Annually


Additionally, it was observed that the required 1 hour fire separation around the MAIN ELECTRICAL ROOM (Normal Power) was not provided in accordance with the 1985 Hospital Licensing Rules (HLR) - shown below.
The Inspector was advised that the Reba McEntire facility was constructed in 1989.

HLR, 1985: 9-2.1 Switchboards and Power Panels.
" These items shall comply with NFPA 70* National Electrical Code (NEC).* The main switchboard shall be located in a separate room, separated from other occupancies and exposures by at least a one hour rated enclosure and accessible only to authorized persons ... "


TEXOMA MEDICAL CENTER BEHAVIORAL HEALTH CENTER
Based on observations made during the survey of the facility while accompanied by the CEO (Corporate), COO, Quality Management Dir., Quality Management Mgr., Dir. of Nursing, and the Quality Coordinator it was observed that while it appears the facility had accomplished some of the requirements, the facility failed to provide logs indicating consistent, systematic compliance on the following issues and items:

1. Air filter change log.
2. Electrical power and distribution and grounding systems - Effectiveness.
Critical Areas: Semi-annually.
General Areas: Annually